Common Questions About Masturbation and Urinary Health - Urology

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I have some questions regarding masturbation that I would like to ask the doctor?


I would like to ask the doctor a few questions.
I have been masturbating since middle school, with a frequency of about once every two days or once a day.
Recently, I have noticed some issues:
1.
When watching adult films, I find that I ejaculate very quickly, within about one minute, when I see certain specific scenes.
Is this normal?
2.
I sometimes experience slight urinary leakage when I am relaxed.
Could this indicate a problem?
3.
I feel hesitant to drink too much water lately because I quickly need to urinate.
For example, after drinking about 350cc (half a bottle of water), I feel the urge to urinate within 30 to 45 minutes.
Is this normal?

Xiao Chen, 20~29 year old female. Ask Date: 2014/11/11

Dr. Xu Weikai reply Urology


Xiao Chen: Hello! 1.
The time it takes for each person to ejaculate varies and cannot be compared.
2.
It may be due to autonomic nervous system dysfunction.
3.
It could also be autonomic nervous system dysfunction causing nerve excitement.
However, the way each person urinates after drinking water is inherently different.
Note: For dialysis patients, even after drinking 350cc of water, they may not urinate for 24 hours because their kidneys are already damaged.
Therefore, a faster urine production rate indicates better kidney function.
My suggestions: 1.
Regular exercise every day can help resolve autonomic nervous system dysfunction.
2.
Maintain a daily urine output of 1500cc; you may need to drink more than 2500cc of water.
If there are any unclear points, feel free to ask again for further discussion and research.
Online responses can only serve as a reference; if necessary, it is still important to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Ministry of Health and Welfare, who cares about you.

Reply Date: 2014/11/11

More Info


When it comes to masturbation and urinary health, there are several common concerns that individuals may have. Let's address your questions one by one, providing insights based on medical knowledge.

1. Rapid Ejaculation During Arousal: It is not uncommon for individuals to experience rapid ejaculation, especially when exposed to sexually stimulating material such as pornography. This phenomenon can be influenced by various factors, including psychological arousal, anxiety, or even the specific content being viewed. If you find that this is a consistent issue that affects your sexual satisfaction or relationships, you might consider discussing it with a healthcare provider or a sexual health specialist. Techniques such as behavioral therapy, pelvic floor exercises, or even certain medications can help manage premature ejaculation.

2. Involuntary Urination: Experiencing involuntary leakage of urine, especially during moments of relaxation, can be concerning. This could be a sign of a condition known as urinary incontinence, which can occur for various reasons, including pelvic floor weakness, overactive bladder, or even anxiety-related issues. It is important to consult a healthcare professional to determine the underlying cause. They may recommend pelvic floor exercises (Kegel exercises), bladder training, or other interventions based on your specific situation.

3. Frequent Urination After Drinking Water: The need to urinate shortly after consuming fluids can be influenced by several factors. Normal urinary frequency can vary widely among individuals, but if you find yourself needing to urinate frequently after drinking even small amounts of water, it could indicate an overactive bladder or other urinary tract issues. Conditions such as urinary tract infections (UTIs), bladder irritation, or even anxiety can contribute to increased urinary urgency. It is advisable to monitor your fluid intake and urinary patterns, and if this continues to be a concern, seek medical advice for a thorough evaluation.


Additional Considerations
- Hydration and Urinary Health: Staying adequately hydrated is essential for urinary health. While it’s important to drink enough fluids, if you are experiencing frequent urination, you might want to track your fluid intake and urinary output to discuss with your doctor. They can help determine if your symptoms are related to hydration levels or if there is an underlying issue.

- Psychological Factors: Anxiety and stress can significantly impact both sexual function and urinary health. If you find that your concerns about masturbation and urinary frequency are causing you distress, consider speaking with a mental health professional. They can provide strategies to manage anxiety and improve your overall well-being.

- Lifestyle Modifications: Sometimes, simple lifestyle changes can make a significant difference. Reducing caffeine and alcohol intake, practicing relaxation techniques, and engaging in regular physical activity can help improve both sexual function and urinary health.

In conclusion, while some of the experiences you describe can be common, they can also indicate underlying issues that may require professional attention. It is always best to consult with a healthcare provider who can provide personalized advice and treatment options based on a comprehensive assessment of your health. Remember, open communication with your doctor about sexual and urinary health is important for overall well-being.

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